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Organization

ORTHOPEDIC TRAUMA SPECIALIST PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORI HOY (BILLING MANAGER)
(248) 697-9839
Entity
Organization

Contact information

Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(248) 697-9839
Mailing address
PO BOX 737, FARMINGTON, MI 48332-0737
(248) 697-9839

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
012323
MI

Other

Enumeration date
07/15/2009
Last updated
07/15/2009
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